Provider Demographics
NPI:1952602740
Name:YELENA KHRAPKO DDS,PC
Entity Type:Organization
Organization Name:YELENA KHRAPKO DDS,PC
Other - Org Name:HYLAN DENTAL ARTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHRAPKO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-351-0012
Mailing Address - Street 1:1975 HYLAN BLVD STE 2
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-3523
Mailing Address - Country:US
Mailing Address - Phone:718-351-0012
Mailing Address - Fax:
Practice Address - Street 1:1975 HYLAN BLVD STE 2
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-3523
Practice Address - Country:US
Practice Address - Phone:718-351-0012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049059122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty